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High Folate and High B12
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High Folate and High B12

A patient recently presented with a serum folate lab value (greater than 18 ng/ml) and Vitamin B12 in the blood of 1741 pg/ml. I am more familiar with deficiencies in those labs, but what's to explain the H in both?
Thanks!
Are you (or the subject of the question) male or female?
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Female
267079_tn?1195146570
With increased serum homocysteine, vitamin B12 and folate increases, however, there may be an underlining vitamin B12 or folate deficiency. This presents itself in renal insufficiency, hypothyroidism or some medications.
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